Insurance Receivable Specialist I

About the role

The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursue our mission at MSK and around the globe. Exciting Opportunity at MSK: Insurance Receivable Specialist I At Memorial Sloan Kettering (MSK), the Insurance Receivable Specialist I plays a critical role in ensuring accurate reimbursement and financial integrity. This position supports the Revenue Cycle Management - Patient Accounts department by resolving insurance balances, analyzing claims, and partnering with payors to drive timely payment outcomes within a high-performing oncology care environment. Role Overview: Represent Revenue Cycle - Patient Accounts in resolving insurance balances for inpatient and outpatient accounts Communicate directly with insurance carriers via portals, phone, email, and correspondence to drive claim resolution Investigate and resolve claim denials, underpayments, and delayed reimbursements Submit appeals and supporting documentation to ensure proper reimbursement outcomes Interpret and apply internal billing terminology, workflows, and escalation protocols Collaborate with internal teams to coordinate account resolution and share updates Maintain accurate and timely documentation of all account activity within Epic and other systems Update insurance and demographic information, ensuring claims are corrected and resubmitted when needed Identify payer trends or recurring issues and escalate appropriately to leadership Key Qualifications: 2-4 years of relevant experience in healthcare revenue cycle environment required Experience working with insurance claims, billing, or accounts receivable processes Knowledge of EHR medical claims modules like Epic, including Resolute Hospital Billing, Professional Billing, or Tapestry preferred Familiarity with oncology-specific coding (ICD-10, CPT, HCPCS/J-codes for chemotherapy and supportive drug services) preferred CRCR (Certified Revenue Cycle Representative), CPAM, or CHFP certification preferred Core Skills: High a ttention to detail and accuracy in documentation and claims resolution Effective communication skills for interacting with insurance carriers and internal stakeholders Problem-solving mindset with persistence in resolving complex insurance issues Organizational skills to manage high-volume workloads and meet productivity expectations Additional Information: Schedule: 8:00 AM - 4:00 PM EST, Monday - Friday with option to change to 9:00 - 5:00 PM EST after training period and able to perform independentl y Location: Remote with flexibility to come on-site once per year in the summer for annual meeting, ideal candidate will be within NYC metro area in case needs change to a rotating schedule to be on-site on some days Reporting to: Supervisor, Revenue Cycle - Patient Accounts Helpful Links : Compensation Philosophy

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